Impacts of the Balanced Budget Act of 1999
National projections, assuming no changes in 1997 legislation
- Ernst & Young report
- total operating margins for rurals under 100 beds
- 5.1% pre-BBA; -5.6 by 2009
- eliminating formula driven overpayment from outpatient drops margin for Medicare outpatient from -17% in FY 1998 to -27.8% in FY 2002
- Lewin Group report
- margin for all Medicare payments to rural hospitals at -7.04% in 2002
- total Medicare margin for hospitals under 50 beds: -12.94% in 2002
Rural Policy Research Center 2/7/00